Combined treatment of muscle tension dysphonia: voice therapy with instrumental postural rehabilitation.

IF 2.1 4区医学 Q2 OTORHINOLARYNGOLOGY

Acta Otorhinolaryngologica Italica Pub Date : 2023-08-01 DOI:10.14639/0392-100X-N2287

Pasqualina Maria Picciotti, Maria Raffaella Marchese, Ylenia Longobardi, Giuseppe Oliveto, Lea Calò, Lucia D'Alatri

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Abstract

Objectives: This investigation aimed to propose a new rehabilitation technique that combines voice exercises and instrumental postural rehabilitation for patients with muscle tension dysphonia (MTD).

Methods: We enrolled nine dysphonic patients (8 women and 1 man, aged 22-55 years). Voice assessment included strobovideolaryngoscopy, Maximum Phonation Time (MPT), perceptual evaluation by GRBAS scale and patient's self-rating by Italian version of the Voice Handicap Index (VHI). Vestibular function was evaluated by the Bed Side Examination and Video Head Impulse test (VHIT). Postural control was evaluated by Dynamic Posturography (DP) using the Sensory Organization Test (SOT) and analysing the Equilibrium Score (ES) and balance subsystems (somatosensorial, visual, vestibular).

Results: All cases underwent different types of voice exercises combined with balance training based on NeuroCom Balance Master Protocols, once a week for six 35-minutes sessions. After therapy, an improvement in MPT, VHI, GRBAS scores and endoscopic laryngeal features was obtained. DP results at baseline were normal and after therapy we showed a slight improvement of ES (somatosensorial and visual components).

Conclusions: A combined rehabilitation technique for MTD, by improving the attention to postural control, allows for significant improvement in vocal symptoms.

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肌肉紧张性发声障碍的综合治疗:声音治疗与器械体位康复。

目的:本研究旨在为肌张力性发声障碍患者提供一种结合发声练习和体位辅助康复的新方法。方法:我们招募了9例语音障碍患者(8女1男，年龄22-55岁)。语音评估包括频闪视频喉镜检查、最大发声时间(MPT)、GRBAS量表感知评价和意大利语版语音障碍指数(VHI)患者自评。通过床侧检查和视频头部脉冲试验(VHIT)评估前庭功能。通过动态姿势摄影(DP)评估姿势控制，采用感觉组织测试(SOT)，分析平衡评分(ES)和平衡子系统(体感、视觉、前庭)。结果:所有病例均进行了不同类型的声音练习，并结合基于NeuroCom平衡大师协议的平衡训练，每周一次，每次35分钟。治疗后，MPT、VHI、GRBAS评分和内镜喉部特征均有改善。基线DP结果正常，治疗后我们显示ES(体感和视觉成分)略有改善。结论:MTD的综合康复技术，通过提高对姿势控制的关注，可以显著改善声带症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Otorhinolaryngologica Italica OTORHINOLARYNGOLOGY-

CiteScore

3.40

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Otorhinolaryngologica Italica first appeared as “Annali di Laringologia Otologia e Faringologia” and was founded in 1901 by Giulio Masini. It is the official publication of the Italian Hospital Otology Association (A.O.O.I.) and, since 1976, also of the Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale (S.I.O.Ch.C.-F.). The journal publishes original articles (clinical trials, cohort studies, case-control studies, cross-sectional surveys, and diagnostic test assessments) of interest in the field of otorhinolaryngology as well as clinical techniques and technology (a short report of unique or original methods for surgical techniques, medical management or new devices or technology), editorials (including editorial guests – special contribution) and letters to the Editor-in-Chief. Articles concerning science investigations and well prepared systematic reviews (including meta-analyses) on themes related to basic science, clinical otorhinolaryngology and head and neck surgery have high priority.